This work was developed by American physiotherapists using dynamic ultrasound scanning techniques to look at the movement of the sacro-iliac joints. The sacrum is the large triangular bone that is directly below the spine and is between the two pelvis bones. They established the fact that the sacro-iliac joints do in fact move (it can be as much as 1cm) and they identified 35 distinct dysfunctions.
The examination system for these dysfunctions requires the same underlying concepts as MSK disorders where we are looking at what happens when the various joints are moved in certain specific ways.
Static scans and X rays will eliminate serious pathologies, but they will not show what happens as the body moves.
Cross section of the sacro-iliac joints
Wendy Emberson first learnt the sacro-pelvic examination techniques more than 20 years ago and has since trained all the clinical physiotherapists at Stort Physio.
What has become clear in this time is that sacro-pelvic dysfunctions have been greatly misunderstood and under-diagnosed.
The pelvis, with the spine above and the legs below, is bio-mechanically the “centre of the body”. If any of the joints fail in some way, then the balance will be affected, together with all functional movement of the whole body.
In order to help our patients understand these mechanisms and problems, we have produced a BackBook.
The BackBook is included in the treatment fees and provides extensive information and advice about the causes of back pain and how best to manage the problem and deal with the pain.
Wendy will shortly be publishing her book Whose Spine is it Anyway? which is an extension of the BackBook and contains all her knowledge and experience of treating patients with back pain over the last 43 years.